Concluded Case

Diagnosis and treatment

18 months old child presented with the following lesion on her left forearm affecting the flexor compartment of forearm . Initially a small acne like lesion but progressing from last 4 days. H/O URTI 1 week back and was prescribed oral cefixime and PCM . WHAT is the diagnosis and management

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Concluded answer

Eczema herpeticum, also known as a form of Kaposi varicelliform eruption caused by Herpes simplex virus usually arises from pre-existing skin disease, usually atopic dermatitis (AD). In this case it seems to be Viral infection probably Entero virus or Coxsackie virus. The enteroviral infection can cause Symptoms like     Fever     Cough     Skin rash.     Mouth blisters.     Body and muscle aches. They are usually self limiting. Regards to Dr Partha Sarathi Sahana

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Eczema herpeticum, also known as a form of Kaposi varicelliform eruption caused by Herpes simplex virus usually arises from pre-existing skin disease, usually atopic dermatitis (AD). In this case it seems to be Viral infection probably Entero virus or Coxsackie virus. The enteroviral infection can cause Symptoms like     Fever     Cough     Skin rash.     Mouth blisters.     Body and muscle aches. They are usually self limiting. Regards to Dr Partha Sarathi Sahana

Many thanks dear Dr. Pankaj Jagirdar Sir.
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Pappulovesicular localised rash mostly resembles to ICD dd - dermatitis herpetic formis

Treatment
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??Papular urticaria Rx1.application of steroids oint 2.tab.levocetrizne 1.25 mg/Day

??? Eczema herpeticum Respected @Dr. Pankaj Jagirdar Sir & @Dr. Nitesh Prasad Sir requested to share views..

Contact dermatitis ,please start antipruritic and steroid cream for LA.

@whole arm or localised?

Whole arm
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